Plantar Fasciitis is the most frequent cause of heel pain and tenderness. The plantar fascia is the ligament that runs alongside the bottom of the foot from the heel to the toes. During weight bearing activities, this ligament undergoes tension and supports the arch of the foot. Strains to the plantar fascia, stretches or tears, can cause irritation and discomfort in weight-bearing activities.
What is it?
Plantar Fasciitis refers to pain and inflammation in the plantar fascia, particularly in the heel or the arch of the foot, due to repeated strains or stretching of the plantar fascia ligament.
Common Signs & Symptoms:
Common symptoms include stiffness and sharp pain in the bottom of the foot first thing in the morning, particularly during the first few steps out of bed. Pain may gradually decrease over the day but return or increase during weight-bearing activities, such as long periods of standing or walking. Depending on the severity, pain may range from slight discomfort to more debilitating pain.
Assessment includes evaluating pain levels of the client, determining when and where pain occurs, checking swelling in the heel and arch areas, and examining tenderness via direct pressure. Initial strength and range of motion measurements should be conducted to determine progress throughout treatment. Further, gait analysis can determine if biomechanics are the issue.
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